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    OpenPayerNPI Medicare & MedicaidAthens Limestone Health Services, LLC
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    Athens Limestone Health Services, LLC — Billing Profile & Reimbursement Data

    NPI 1275591794 · Athens, AL · Ambulance

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    Athens Limestone Health Services, LLC is a ambulance provider located in Athens, Alabama. This profile covers 7 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAthens Limestone Health Services, LLC
    Address700 W Market St
    CityAthens
    StateAL
    ZIP35611
    TaxonomyAmbulance
    NPI EnumeratedMay 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.2M
    Medicare$1M

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)1,100$360$396.4K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)760$300$229.2K
    A0425Ground mileage, per statute mile28,640$10$229.1K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)700$190$135.3K
    A0434Specialty care transport (sct)30$640$19.1K
    A0433Advanced life support, level 2 (als 2)30$540$15K
    A0426Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)30$240$5.9K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A042715110210$370$209.6K
    A04282770440$180$152.6K
    A0425251206,750$10$131.9K
    A042911110100$310$82.2K
    A043452030$640$25.7K
    A0426385050$240$19.5K
    A0433114020$530$16.9K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0425Ground mileage, per statute mile17,140$30$462.7K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)7,130$50$385K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)4,420$60$256.4K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)5,400$30$145.9K
    A0998Ambulance response and treatment, no transport210$0$0

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alabama median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0425Ground mileage, per statute mile251303,610$40$394K
    A0427Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)161001,850$90$379.6K
    A0428Ambulance service, basic life support, non-emergency transport, (bls)27802,590$40$248.6K
    A0429Ambulance service, basic life support, emergency transport (bls-emergency)17901,170$70$209.8K
    A0998Ambulance response and treatment, no transport310500$0$0

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Athens Limestone Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David PurnerALFamily Medicine Physician$27.7K$0

    Nearby Providers

    Other providers in the same ZIP code as Athens Limestone Health Services, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Advantage Dental Oral Health And Vision Center Of Alabama, P.C.ALPediatric Dentistry$0$6.3M
    Central Pediatrics Inc.ALPreferred Provider Organization$0$4.1M
    Hh Health System - Athens Limestone, LLCALGeneral Acute Care Hospital$0$2.7M
    Athens-limestone Er PhysiciansALEmergency Medicine Physician$0$1.7M
    Pathways Speech Therapy, Inc.ALSpeech-Language Pathologist$0$985.9K
    Limestone County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$936.3K
    R HillALSpecialist$333.6K$0
    Cassidy KoonceALSurgery Physician$281K$0
    Nauman QureshiALSpecialist$263K$0
    Crystal WalkerALCardiovascular Disease Physician$194.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Athens Limestone Health Services, LLC — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama
    Medicaid Revenue by Year vs. Alabama Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alabama Distribution
    Athens Limestone Health Services, LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama